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#211

The fresh frozen cadaveric study of direct Pouch of Douglas trocar insertion for vaginal Natural Orifice Transluminal Endoscopic Surgery Alshiek J1, Shobeiri S2 1. Hillel Yafe Hospital, INOVA, 2. INOVA KEYWORDS: Anatomy, Basic Science, Female, New Devices, New Instrumentation In order to overcome the risks of bowel or vascular injury during blind entrance to the Pouch of Douglas (POD), ultrasound and other imaging modalities have been investigated and the ultrasound technique can be easily learned by surgeons. In this study we hypothesized that in patients without suspected history of POD obliteration, blind POD entry for the purposes of creating a surgical port using a transvaginal trocar can be feasible. This concept has previously been tested in an Ovine Model. As such we chose to test our hypothesis on female frozen cadavers to demonstrate safe angles for entry of the trocar into POD. Read the full abstract text here: https://www.ics.org/2020/abstract/211